44D2159412 CLIA NUMBER - KEYSTONE PHARMACY SERVICES, LLC DBA UNIV OF TN STUDENT HEALTH CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 44D2159412
  • Facility Name: KEYSTONE PHARMACY SERVICES, LLC DBA UNIV OF TN STUDENT HEALTH CENTER PHARMACY
  • Facility Address: 1800 VOLUNTEER BLVD SUITE 153
    KNOXVILLE, TN
    ZIP 37996
  • Facility Phone: 865 974-5932
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PEYTON N. ROBERTS
  • NPI Number: 1508113143
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2159412
LAB Type Pharmacy
Facility Name KEYSTONE PHARMACY SERVICES, LLC DBA UNIV OF TN STUDENT HEALTH CENTER PHARMACY
Street 1800 VOLUNTEER BLVD SUITE 153
City KNOXVILLE
State TN
ZIP 37996
Phone 865 974-5932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director PEYTON N. ROBERTS

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This page was last updated on: 9/29/2025